Permit ,, CITY OF TIGARD D ..: . %
A „, ' D .SERVICE BUILDING PERMIT �;
� 1 1 4 \ 1 1 11 „ PERM.I T it— ..:, ..: L>l..11 X7--0 50 :a
, 1J2.'', 13125 SW HaII Blvd., Tigard, OR'97223 (503) 639 -4171 , , - DATE ISSUED: 11/0
PARCEL. ' 15- 136AD_:.r�4o4Z11Zi - = „
SITE ADDRESS...: 11533 SW PACIFIC HWY'
• SUBDIVISION.... e VILLA RIDGE ZGNINGsC —•G
BLOCI:........... LOT.......... „ .. :X14247 TURISD'ICTIONeTIG '
REISSUE: FLOOR AREAS-- _._..- ____."..- EXTERIOR WALL. CONSTRUCTION -
CLASS OF WORK. :ALT F IRST....: e7+ s f N e .S e E o 14i;
TYPE OF USE... e COM 'SECOND...: 0 sf , PROTECT OPENINGS?---------- .
TYPE OF CONS i•. e rN .... rZ1 sf N: S : F e W e '
OCCUPANCY GRP. e B TOTAL-- e 0 sf ROOF CONST e FIRE RET? e •
OCCUPANCY LOAD e BASEMENT. e ' 0 sf AREA SEP'. RATED e •
STOR.: 0 HT 0 ft GARAGE...: 0 sf OCCU SEP. RATED: '
BSMT? : ME Z Z ? : REDD SETBACKS-------- = -• - - -- REQUIRED - =-- ...----- _ - - - -- .
FLOOR LOAD....: 0 ps'F LEFT: 0 ft RGHT: 0 ft FIR SPKL:' SMOK DET.. a
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMSO 0 BATHS: 0 IMP SURFACE 0 PRO CORR PARKING: 0
VALUE. $ : f� Db Q4 ,
R e n 'k s e Con truct 14' high wall with a new door.
Owner: ---- .-- •-- ••- • - - - - -- ------ •---- - - -• -_ __ FEES -- -_ _ _._
BENEFICIAL REAL ESTATE type amount by date rer
11533 SW PACIFIC HWY ' • PRMT $ - 92. 5i0' DRF? 11/03/97 G7 - 3fi 0612
TIGARD OR 97223. •' PRMT $ ' 92.50 DRA 11/03/97 97- 300612
EPCT 4.63 DRA 11/4243/97 97-3006 12
Phone #: PLCR $ 60.:L3 DRA 11/03/97 97-300612'
FIRE $ 37.00 DRA 11/03/97 97 •- 30061E
Contractor ~: - --
DOTY Et. ASSOCIATES INC
322421 PO I NTE PAR}<WAY STE 200 -
NORCRO SS GA 300492 ,
Phone #: 503-•- 662 -52151 $ 266.76 TOTAL.
Reg #..: 010101 .
REQUIRED INSPECTIONS --
This permit is issued subject to the regulations contained in the Framing Insp
Tigard �;unicipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
applicable' laws. All work will be done in accordance with ,.j�1tt._ i tJ5
approved plans. This permit will expire if -work is not started
' within 180 days of issuance, or if work is suspended for more
than'180 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center.. Those '
rules are set forth in OAR 952 -401 -0010 through OAR 952-00101987. —, - , —
You @any obtain a copy of these rules or direet to QUNC __ .
by calling (5031246 -1987. ; ” „ , _.
Perin i t t e e S i : _ .___ I s sued 'B y
+ f ..
1-4.. ± +.f +-f- +-F
-I- • -i._[- 4 _ -1- •t•..•i + + +•{--f--I--i=+ ++ ++-t•+t #•-l--1 + ++ ++ + +•F• + +-h:i--F -hi--i .4 +•++ +-1 +-i-t+ I +.4- + -1- +- • ++ i-t-f. 1
' Call 633-4175 by 7 :104 p. =.n. ''For an i.nsper_'tiorr• needed the n :e'xt.= business day
+ +- l-- h•+•+•+•+•+••+-+- F•- F•++=++++•+•• f•++- F•+• i A-+++- 1-- F• q-A -.f•-h- F...1..rf- +-I.a..-i•• ••-F+- i--" r +-1- ++i•-l- -F-*4..'*+4•+ -F•-F F• +-t q + +•f +•d -•d-+
•
CITY OF TIGARD Commercial Building Permit /; Rec'dB , '✓
131 .5 SW HALL BLVD. Tenant Improvement �( ( J Date Recd /0 -146
TIRQ, OR 97223 Date to to P.E. /
(503) 639 -4171 � VO C.F� �
ermit # 1 I J,a,... ,J
Print or Type Related S #
Incomplete or illegible applications will not be accepted Called
/ N ame of Deve Existing Building New Building ❑
Job /4c.icac 1Gva - skJ,/ / ilq Gibe
Address Street Address / Suite Building
1ls 1 Data
Bldg # City/State Zip Existing Use of Building or Property:
7 i ( iiividiot, '17Z13
Name
Property Gt/ �LC� 544, , /� Proposed Use of Building or Property:
Owner Mailing Addre AMP
//O No. Of Stories:
ty %State Zip Phone 1
L ) v 97? )4 Sq. Ft. Of Proje t:
Occupant Name � 1/00 ±
,ae0e -h. L GGsGytc,L A‘I‘ Occupancy Class(es)
Name i
Contractor ' 0 B7",/ -(- /1-5Seci ° S , l Type(s) of Construction
Prior to permit Mailing Address Suite
issuance, a copy B �� r Will this p roject have a Fire Suppression System?
of all licenses 3LL0 PB el re-/ 2400 Yes ❑ No JK I
are required if City/State Zip D� Pho .S"" pJ
expired in C.O.T. - 776 Americans with Disabilities Act (ADA)
database NPY'Gv 055 ( (* CeldL nl s Valuation X 25% = $ Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form 4 ►JOT tige-r PP"
101017 fQ- ZP1- Project $ pe , _ :
Name Valuation / / BOO '
Architect Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
City/State Zip - Phone I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
that plans submitted are in compliance with'Oregon State Laws.
Engineer Name
Sign a of Ow er /A en Date
Mailing Address Suite la •,-s ®_ L7
Contact Per on Name Phone (get L _ 6 tr-7 or
City/State Zip Phone kl 144 IILLe 41-, 4-0_ 7 [ HH`3 - 3 7.s
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition' 0 Map/TL# Land Use:
Accessory Structure 0 Foundation Only 0 Alteration 0 - /
Repair 0 Other X rei44C44 r 1i kc1 'L Notes:
Description of work:
- 1 i TIF:
Parks: Estimated # of Employees
Note: Site Work Permit Application must precede or accompany Building
Permit Application
I: \COMNEW.DOC (DST) 8/97
.C)
•
COMMERCIAL PLAN SUBMITTAL '
REQUIREMENT MATRIX
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 -- -- 3 (j,o,u) -- --
B (New or Add) 1 1 -- -- 3 (j,o,w) -- --
F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f)
M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- --
B & M (New or Add) 1 1 -- -- 3 (j,o,w) -- --
P (New, Add. or Alt) 2 -- 2 -- -- 2(j,o) --
B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) --
B (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o)
B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o)
:BorB&
Ivt :01t _1
: °B &: & .,Alt.': ,, :: , - :: -. _:
'. `` ; `.. ;:... , "::: .
... :..I.:: .. ::: .z:::::::.::.:.: . {: - 2 ::::. ':a.:.... »... .
; B: & M & P° &::E (AItY<::.:::... . :: :.: :. 3 :. I . . . - :..:. 2 (i,o): '2 2(46)....:..
NOTES: KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and completes, o = Office M = MEC
updates and adds actions. f = Fire P = PLM
u = USA E = ELC
b :`_.Shaded areas designat ()illy. ::;. . :1% .:: w = Wash. County F = FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
h: \1matric. Doc
OVER -THE- COUNTER (OTC) PERMIT
' COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: (11,Ad„. /4I /44.4. td A66 w) 1J13t "Dora
CLASS OF WORK: //�� Ac, FLOOR AREAS: EXTERIOR WALL CONSTRUC N
TYPE OF USE: 00 An FIRST S., ' T. N: • S: E: W:
TYPE OF
CONSTR: 51• SECOND SQ. FT. PROTECT OPENINGS?:
GS ?:
OCCUPANCY GRP: THIRD / SQ. FT. N: S:/ E: W:
OCCUPANCY LOAD: ••-- - ---- TOTA SQ. FT. ROOF CO TR: FIRE RET:
STOR: HT: FT: i B NT: SQ. FT. 7 ' SEP. RATED:
—
BSMNT ?: MEZZ ?: -ARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
..,.. SPRINKLER: ALARM: DETECTOR: ACCESS:
I • COMMERCIAL INSPECTION ACTIONS . . FEE MENU 1
Foot/Found Post/Beam 1 $ { Pe Fee
Masonry $ � Plan Review
X
Insulation Shear Wall " $ �[ 43 5% State Surcharge
\
Firewall - yp :oard $ 3.700 FLS Plan Review
Suspended Ceiling prinkler Rough -in 0 $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous Final $ MIS Fee
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS (COM= commercial; CMS = commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT = alteration; ACS = accessory;FND- foundation;
OTR= other; DEM= demolition; REP= repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I: \ovrcntr2.doc (DST) 4/97
.1 T e----
/D C
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;age No. 1 CASE HISTORY FOR CASE NO.: BUP97 -0509
BENEFICIAL REAL ESTATE
11533 SW PACIFIC HWY
12/22/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
ArQ ROVEL ` �� ^ Date By
V 11G Code Sent Done Done L
011
Q y
BUPC005 Application received / / / / 11/03/97 p S 5 OTC DRA 11/03/97 DRA
BUPC008 Permit created / / / / 11/03/97 3tt /� PASS DRA 11/03/97 DRA
BUPCOIO Check for prcl. restrict. / / / / 11/03/97 / - PASS DRA 11/03/97 DRA
BUPCO24 Plano Approved by CPE / / / / 11/03/97 Doc PASS R +P 11/03/97 DRA
BUPCO26 Approved Plans routed to DSTs / / / / 11/03/97 PASS R +P 11/03/97 DRA
BUPC100 (F) Issue permit / / / / 11/03/97 PASS DRA 11/03/97 DRA
BUPC740 Framing Insp / / / / 11/05/97 Approved as noted: PASS GS 11/05/97 J +H
1. Brace wall to structure.
2. Approval subject to approval of
electrical cover and above.
BUPC760 Gyp Board Insp / / / / 11/06/97 PASS GS 11/07/97 GES
BUPC802 Final Inspection / / / / 11/20/97 1. Needs one 2A1OBC min. fire FAIL GS 11/20/97 J +H
extinguisher.
2. Remove dead bolt from front door.
3. Prior approval of electrical permits
required.
BUPC802 Final Inspection / / / / 12/10/97 Approved subject to installation PASS GS 12/22/97 JT
(mounting) of fire extinguisher.
12/22/97 to Jill for C/O approval
0
L _ p •
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: l..)-, / 1 Q — - A.M. P.M. MST:
Location: 1/5 S Pi ; BUP: C 7 7-01.56?
Tenant: L BeiJe Fl C ( A1_- Suite: Bldg: MEC:
Contractor: �vl 1 ` Phone: 1- Roo- 7 (4- 5375 PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG n't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
rove Approved Approved Approved Approved
Appr /Sdwlk N ved Not Approved Not Approved Not Approved Not Approved
AL FINAL FINAL FINAL FINAL
...77 .26--1.4.---- - 1-- 7 / 7 ./....4.;.... .4/or—C.-A-II --44-e--
•
O Call for reinspection 0 Reinspection fee of $ required before next inspection CI Unable to inspect
Inspector: .,4" Date: / 7.... — / 0 — 9 7 Page of